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Publikationer (10 of 14) Visa alla publikationer
Pennbrant, S. & Karlsson, M. (2019). Caring for Older People: Improving Healthcare Quality to Ensure Well-Being and Dignity. In: Aida Isabel Tavares (Ed.), Universal Health Coverage: . London: Intechopen Limited
Öppna denna publikation i ny flik eller fönster >>Caring for Older People: Improving Healthcare Quality to Ensure Well-Being and Dignity
2019 (Engelska)Ingår i: Universal Health Coverage / [ed] Aida Isabel Tavares, London: Intechopen Limited , 2019Kapitel i bok, del av antologi (Övrigt vetenskapligt)
Abstract [en]

The aim of caring is to promote health. The global trend is that people are living longer, but in many cases, there is no support system for the care of older people, leading to major challenges in ensuring their health and well-being. The proportion of older people is expected to increase globally, and skilled healthcare professionals will be required to care for them. There is a risk that older people as suffering and vulnerable human beings will be forgotten due to the increasingly effective and technical care worldwide. A caring culture and relationship should be prioritised and developed to promote participation, well-being and dignity for older people in order to fulfil their care needs and ensure quality healthcare. It is important that research focusing on universal health coverage identifies the benefits of increased investment in service quality. To contribute to the improvement of this output, we propose the application of Eriksson's caritative theory. The aim of this theoretical chapter is to provide examples of how the dignity and well-being of older people can be promoted, at no additional cost to the person, by means of Eriksson's caritative theory, which can strengthen healthcare for universal health coverage.

Ort, förlag, år, upplaga, sidor
London: Intechopen Limited, 2019
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-14734 (URN)10.5772/intechopen.85598 (DOI)
Tillgänglig från: 2019-12-06 Skapad: 2019-12-06 Senast uppdaterad: 2019-12-06
Karlsson, M. & Karlsson, I. (2019). Follow-up visits to older patients after a hospital stay: nurses' perspectives.. British Journal of Community Nursing, 24(2), 80-86
Öppna denna publikation i ny flik eller fönster >>Follow-up visits to older patients after a hospital stay: nurses' perspectives.
2019 (Engelska)Ingår i: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 24, nr 2, s. 80-86Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Older patients with multimorbidity and extensive healthcare needs are at risk of frequent readmission to hospital after discharge. With a Swedish report entitled 'Follow-up 48-72' as its basis, the present study aimed to describe nurses' experiences of follow-up visits to older patients with multimorbidity 48 to 72 hours after discharge from hospital. Semi-structured interviews were conducted with 10 nurses experienced with such home visits to older patients, and the material was analysed by qualitative content analysis. The results indicate that such visits by nurses can relieve patient anxiety, as patients are often unsure of the next steps, in terms of medication and care. According to the nurses, these visits created trust in the nurse-patient relationship and ensured patient safety. Follow-up visits soon after discharge from hospital should become a part of routine nursing, especially for older people with multimorbidity.

Ort, förlag, år, upplaga, sidor
London: Mark Allen Group, 2019
Nyckelord
Follow-up visits, Multimorbidity, Nursing, Re-hospitalisation, Supervision
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-13473 (URN)10.12968/bjcn.2019.24.2.80 (DOI)30698480 (PubMedID)2-s2.0-85060792504 (Scopus ID)
Tillgänglig från: 2019-02-04 Skapad: 2019-02-04 Senast uppdaterad: 2019-02-14Bibliografiskt granskad
Berndtsson, I., Karlsson, M. & Rejnö, Å. (2019). Nursing students' attitudes toward care of dying patients: A pre- and post-palliative course study. Heliyon, 5(10), Article ID e02578.
Öppna denna publikation i ny flik eller fönster >>Nursing students' attitudes toward care of dying patients: A pre- and post-palliative course study
2019 (Engelska)Ingår i: Heliyon, ISSN 2405-8440, Vol. 5, nr 10, artikel-id e02578Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Many nursing students are not prepared to encounter death and care for patients who are at the end of life as newly educated nurses. The Frommelt Attitude Toward Care of Dying Scale (FATCOD) has been used to assess nursing students' attitudes during their education and changes have been noted.

Objective: To examine nursing students' attitudes towards care of dying patients before and after a course in palliative care.

Design: A descriptive study with a pre and post design.

Settings & participants: Nursing students (n = 73) enrolled in a mandatory palliative course in the nursing programme at a Swedish university.

Methods: Data were collected before and after a palliative care course using FATCOD and qualitative open-ended questions. Data from FATCOD were analysed using descriptive and analytical statistics. The open-ended questions were analysed with qualitative content analysis.

Results: The students' mean scores showed a statistically significant change toward a more positive attitude toward care of dying. Students with the lowest pre-course scores showed the highest mean change. The qualitative analysis showed that the students had gained additional knowledge, deepened understanding, and increased feelings of security through the course.

Conclusions: A course in palliative care could help to change nursing students' attitudes towards care of patients who are dying and their relatives, in a positive direction. A course in palliative care is suggested to be mandatory in nursing education, and in addition to theoretical lectures include learning activities such as reflection in small groups, simulation training and taking care of the dead body.

Nyckelord
Attitudes, Education, End of life, Health profession, Medicine, Nursing, Nursing education, Nursing students, Palliative care, Work integrated learning
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-14705 (URN)10.1016/j.heliyon.2019.e02578 (DOI)31667412 (PubMedID)2-s2.0-85072935231 (Scopus ID)
Tillgänglig från: 2019-11-14 Skapad: 2019-11-14 Senast uppdaterad: 2019-11-14
Karlsson, M. (2018). The struggle of health care providers to reconcile as human beings in end-of-life care. In: 39th Annual International Association for Human Caring (IAHC) Conference in Minneapolis, Minnesota, USA May 30th through June 1st 2018.: . Paper presented at 39th Annual International Association for Human Caring (IAHC) Conference.
Öppna denna publikation i ny flik eller fönster >>The struggle of health care providers to reconcile as human beings in end-of-life care
2018 (Engelska)Ingår i: 39th Annual International Association for Human Caring (IAHC) Conference in Minneapolis, Minnesota, USA May 30th through June 1st 2018., 2018Konferensbidrag, Enbart muntlig presentation (Övrigt vetenskapligt)
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-13422 (URN)
Konferens
39th Annual International Association for Human Caring (IAHC) Conference
Anmärkning

I programmet både efternamn och ett ord i titeln felaktigt: 

Margareta Karisson

The strutgle of health care providers to reconcile as human being in end-of-life care

Tillgänglig från: 2019-01-16 Skapad: 2019-01-16 Senast uppdaterad: 2019-10-24Bibliografiskt granskad
Karlsson, M., Hedemalm, A. & Berggren, I. (2017). Assessment and decision-making of Swedish primary care nurses in relation to the use of interpreters. Journal of Health Visiting, 5(9), 454-460
Öppna denna publikation i ny flik eller fönster >>Assessment and decision-making of Swedish primary care nurses in relation to the use of interpreters
2017 (Engelska)Ingår i: Journal of Health Visiting, ISSN 2050-8719, Vol. 5, nr 9, s. 454-460Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Communicating with immigrants in primary care can be a challenge for nurses who must assess language proficiency and decide whether to use an interpreter. The aim of this study was to examine primary care nurses’ experiences of assessment and decision-making in relation to the use of interpreters. A qualitative inductive research design was chosen and nurses with experience of professional interpreters were recruited for focus group interviews. The study results showed that primary care nurses respected immigrants as human beings and recognised their right to decline an interpreter in sensitive situations. The purpose of primary care nurses’ experiences of assessment and decision-making in relation to the use of interpreters was ensuring patient safety, the importance of reciprocal information and respect for patient autonomy.

Ort, förlag, år, upplaga, sidor
London: MA Healthcare Ltd, 2017
Nyckelord
Decision-making, Language assessment, Health visiting, Primary care
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-11801 (URN)10.12968/johv.2017.5.9.454 (DOI)
Anmärkning

Published Online: September 20, 2017

Tillgänglig från: 2017-11-23 Skapad: 2017-11-23 Senast uppdaterad: 2019-05-23Bibliografiskt granskad
Karlsson, M. & Kasén, A. (2017). Health care providers becoming as human beings in end-of-life care: a tentative theory model. In: The 15th World Congress of the European Association for Palliative Care (EAPC): Abstracts. Paper presented at The 15th World Congress of the European Association for Palliative Care (EAPC) (pp. 853-853). Hayward Medical Communications, Article ID P02-172.
Öppna denna publikation i ny flik eller fönster >>Health care providers becoming as human beings in end-of-life care: a tentative theory model
2017 (Engelska)Ingår i: The 15th World Congress of the European Association for Palliative Care (EAPC): Abstracts, Hayward Medical Communications, 2017, s. 853-853, artikel-id P02-172Konferensbidrag, Poster (med eller utan abstract) (Refereegranskat)
Abstract [en]

Aim: The aim is to elucidate dimensions in a tentative theory model of health care providers becoming as human beings in end-of-life care. Health care providers as fellow human beings are vulnerable and caring for patients at the end-of-life is usually something that not goes without a trace for health care providers. The awareness of death can give meaning and understanding of one's own life. Health care providers' existential situation has received small extent of attention. Design, methods and approach: A caring science perspective based on Eriksson's theory of caritative caring, was used to reveal dimensions of health care providers becoming as human beings. The material consists of two substudies with interviews, one meta-synthesis and three focus groups interviews with a total of 1635 nurses. In the interpretation of the material a hermeneutic overall approach was chosen. Result: The theory model indicates that health care providers in a caring communion in end of-life allows contact with life and oneself as human beings. It is an inner awakening for health care provider as human beings, an inner movement to the awareness to be able to love unselfishly in the caring of patient. When health care providers get contact with life and oneself as human beings they struggle to be reconciled with their own life situations. Becoming, as human beings can be revealed as an understanding of life and feelings of inner strength and happiness as human beings and as health care providers in end-of-life care. Conclusion: The dimensions of the theory model can give a deeper understanding of health care providers becoming as human being. In caring community health care providers can experiencing difficult situations where there inner as human beings will be touched and existential questions raises about health and suffering, dying and death. Becoming as human beings and health care providers in caring communion is to be at home in ethos, love, charity and reconciliation.

Ort, förlag, år, upplaga, sidor
Hayward Medical Communications, 2017
Nyckelord
End-of-life-care, care providers, nursing
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-11987 (URN)
Konferens
The 15th World Congress of the European Association for Palliative Care (EAPC)
Tillgänglig från: 2018-01-08 Skapad: 2018-01-08 Senast uppdaterad: 2018-01-08
Tveter, H. & Karlsson, M. (2017). Parents' experiences and perspectives of a postnatal home visit by a district nurse in Sweden. Journal of Health Visiting, 5(2), 82-88
Öppna denna publikation i ny flik eller fönster >>Parents' experiences and perspectives of a postnatal home visit by a district nurse in Sweden
2017 (Engelska)Ingår i: Journal of Health Visiting, ISSN 2050-8719, Vol. 5, nr 2, s. 82-88Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The transition to parenthood can involve major adjustments for a couple. New roles are to be learned and new relationships formed, and already existing relationships may need to be realigned. There is a dearth of recent literature about parents' experiences of home visiting by a district nurse and more research is required to explore parents' views of the home visit to help make it meaningful and build a trusting relationship between parents and health professionals. This Swedish study aimed to describe parents' experiences and perspectives of a home visit by a district nurse after the birth of their first child. The study results showed that parents can feel uncomfortable before the home visit and not fully understand the purpose of the visit, but that the respectful attitude of the district nurse encouraged parents to focus on their strengths, and made the visit a positive experience. 

Ort, förlag, år, upplaga, sidor
London: Mark Allen Group, 2017
Nyckelord
District nurse, First-time parents, Home visiting, Sweden
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-11564 (URN)10.12968/johv.2017.5.2.82 (DOI)
Anmärkning

Published Online: February 21, 2017

Tillgänglig från: 2017-09-19 Skapad: 2017-09-19 Senast uppdaterad: 2019-05-21Bibliografiskt granskad
Karlsson, M., Kasén, A. & Wärnå-Furu, C. (2017). Reflecting on one's own death: the existential questions that nurses face in end-of-life care. Palliative & Supportive Care, 15(2), 158-167
Öppna denna publikation i ny flik eller fönster >>Reflecting on one's own death: the existential questions that nurses face in end-of-life care
2017 (Engelska)Ingår i: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 15, nr 2, s. 158-167Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

When registered nurses care for patients at the end of life, they are often confronted with different issues related to suffering, dying, and death whether working in hospital or community care. Serious existential questions that challenge nurses' identities as human beings can arise as a result of these situations. The aim of our study was to describe and gain a deeper understanding of nurses' existential questions when caring for dying patients. Focus-group interviews with registered nurses who shared similar experiences and backgrounds about experiences in end-of-life care were employed to gain a deeper understanding about this sensitive subject. Focus-group interviews were performed in hospice care, in community care, and in a palliative care unit in western Sweden. A qualitative hermeneutic approach was employed to interpret the data. Nurses' existential questions balanced between responsibility and guilt in relation to their patients, between fear and courage in relation to being professional caregivers and fellow human beings, and between hope and despair in relation to the other's and their own death. Nurses in end-of-life care experience various emotions from patients related to things physical, spatial, and temporal. When nurses encounter these emotions as expressing a patient's suffering, they lead to challenges of balancing between different feelings in relation to patients, as both professional caregivers and fellow human beings. Nurses can experience growth both professionally and as human beings when caring for patients at the end of life.

Nyckelord
Existential questions, end-of-life care
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-9452 (URN)10.1017/S1478951516000468 (DOI)000399394800003 ()
Anmärkning

Ingår i avhandling

Tillgänglig från: 2016-06-23 Skapad: 2016-06-23 Senast uppdaterad: 2019-05-23Bibliografiskt granskad
Karlsson, M. (2016). Vidrörd av livet i dödens närhet: Att varda som människa och vårdare i vårdandets gemenskap. (Doctoral dissertation). Åbo: Åbo Akademi University Press
Öppna denna publikation i ny flik eller fönster >>Vidrörd av livet i dödens närhet: Att varda som människa och vårdare i vårdandets gemenskap
2016 (Svenska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Alternativ titel[en]
Touched by life in the proximity of death. : Becoming as a human being and health care provider in the caring communion
Abstract [en]

The overall aim of the study is to create a theory model of "becoming" as a human being and health care provider in the caring communion at the end-of-life. The theoretical perspective of the study is caring science as it is developed at Åbo Academy University in Finland outlined in Eriksson's theory of caritative caring with focus on caring ethics. The thesis consists of four sub-studies reported as scientific articles and a summary section. The study has an overarching hermeneutic research approach. The sub-studies I-IV are reinterpreted from viewpoint of the overall question. Empirical assumptions could then be discerned from the substance of the four substudies, which raised questions. The answers to these questions were sought in dialogue with selected texts by Kierkegaard and resulted in a theory model. The theory model results in following theses: 1. To "become" as a human being is to remain in an endless guilt. Guilt is a form of love. It is guilt that give strength and willingness to act in love and mercy when caring for patients at the end-of-life. The guilt as love allows becoming as a human being to be at home in love and mercy. 2. The human being's courage is characterized as the willingness to obtain contact with the life of fellow human beings. This courage develops over time to stand for itself, with a foundation of belief in human beings, and resulting in a selfless, loving way to help the patients grieve and reconcile at the end-of-life. 3. To be "touched" can be illustrated as an inner awakening; an inner movement towards consciousness for the examination of the love for one another, and to love unselfishly. 4. The human being's evolution in its own understanding of life occurs in the care of another human being who is at the end-of-life, as well as to be at home in ethos, love and mercy. Becoming in this context means that the human being evolves to become responsive to the heart's inner voice; an inner strength and joy which opens to the eternal and holy. 5. To overcome external obstacles is characterized as serving human beings in a selfless love; a caring in love that has requirements that need to be expressed by what is true, beautiful and good for patients at the end-of-life. An awareness and understanding of what it means to become as a human being and health care provider in caring community can help health care providers to easily focus on the patient.

Ort, förlag, år, upplaga, sidor
Åbo: Åbo Akademi University Press, 2016. s. 110
Nyckelord
Caring communion, caring science, caritative theory, end-of-life, health care provider, hermeneutics, becoming as human being, Caritativ teori, hermeneutik, livets slutskede, vårdandets gemenskap, vårdvetenskap, människans vardande
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-9453 (URN)978-952-12-3393-7 (ISBN)978-952-12-3394-4 (ISBN)
Handledare
Tillgänglig från: 2016-06-23 Skapad: 2016-06-23 Senast uppdaterad: 2016-06-23Bibliografiskt granskad
Karlsson, M., Berggren, I., Kasén, A., Wärnå-Furu, C. & Söderlund, M. (2015). A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care. International journal for human caring, 19(1), 40-48
Öppna denna publikation i ny flik eller fönster >>A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care
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2015 (Engelska)Ingår i: International journal for human caring, ISSN 1091-5710, Vol. 19, nr 1, s. 40-48Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

This metasynthesis aimed to translate, interpret, and present a synthesis of qualitative studies from nurses' perspectives dealing with ethical dilemmas and ethical problems in end-of-life care and to gain a deeper understanding of the phenomena. Nurses and other care professionals need to gain a deeper understanding and alleviate the suffering of patients through evidence-based practice end-of-life care. The metasynthesis, inspired by Noblit and Hare, generated an overarching metaphor, The Loving Eye. The Loving Eye illustrates how nurses are deeply involved with patients as human beings and connotes an inner responsibility to struggle for patients' best interests and wishes at the end of life. With The Loving Eye, nurses can see and feel patients' need to be confirmed, comforted, and healed approaching the end of life.

Nyckelord
caring, end-of-life care, ethical dilemmas, ethical problems, evidence-based care, metasynthesis, nurses' experiences
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
urn:nbn:se:hv:diva-9235 (URN)10.20467/1091-5710-19.1.40 (DOI)
Tillgänglig från: 2016-03-17 Skapad: 2016-03-17 Senast uppdaterad: 2017-11-30Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0003-1981-455X

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